| Dr Thomas Alvis Thacker, DO | |
|
106 N Cross Street, Albany, KY 42602 | |
| (606) 328-1204 | |
| (888) 960-2041 |
| Full Name | Dr Thomas Alvis Thacker |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 106 N Cross Street, Albany, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922251123 | NPI | - | NPPES |
| 7100685010 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04885 (Kentucky) | Primary |
| 207Q00000X | Family Medicine | DO0000003582 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Quality Home Health | Jamestown, TN | Home health agency |
| Amedisys Home Health | Columbia, KY | Home health agency |
| Livingston Regional Hospital | Livingston, TN | Hospital |
| Pickett Care And Rehabilitation Center | Byrdstown, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland Family Medical Center, Inc.. | 6305947789 | 105 |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Entity Name | Firstchoice Family Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962961466 PECOS PAC ID: 2668802968 Enrollment ID: O20220504002865 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Alvis Thacker, DO Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Dr Thomas Alvis Thacker, DO 106 N Cross Street, Albany, KY 42602 Ph: (606) 328-1204 |
William C Powell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 106 N Cross St, Albany, KY 42602 Phone: 606-387-6631 Fax: 606-387-8121 | |
Tammy L Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 Burkesville Rd, Albany, KY 42602 Phone: 606-387-4251 Fax: 606-387-5785 | |
Dr. Michael Lee Cummings, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 127 Foothills Ave, Suite 1, Albany, KY 42602 Phone: 606-387-6627 Fax: 606-387-4178 | |
Dr. Amber Shadoan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Foothills Ave, Albany, KY 42602 Phone: 606-387-0047 Fax: 606-387-0083 |